Clark, Robin D
Clark, Robin D is an individual health care provider with primary practice located at 11370 Anderson St Ste B-100, Loma Linda CA 92354-3450. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Clark, Robin D can be contacted via phone (909) 558-2848.Contact Information
Primary practice address
11370 Anderson St Ste B-100
Loma Linda CA 92354-3450
Phone: (909) 558-2848
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G44702 | California |
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | G44702 | California |
Profile Details
| NPI number | 1902826498 |
|---|---|
| LBN Legal business name | Clark, Robin D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Nov 23rd, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902826498 | NPPES |
| California | MEDICAID | 00G447020 |
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